Provider Demographics
NPI:1851435135
Name:NEW, SHERYL (MSBS)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:NEW
Suffix:
Gender:F
Credentials:MSBS
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11455 N MERIDIAN ST
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-1624
Mailing Address - Country:US
Mailing Address - Phone:317-848-0001
Mailing Address - Fax:317-848-0002
Practice Address - Street 1:11455 N MERIDIAN ST
Practice Address - Street 2:SUITE 150
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-1624
Practice Address - Country:US
Practice Address - Phone:317-848-0001
Practice Address - Fax:317-848-0002
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN10000566A363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000489642OtherANTHEM BCBS
IN000000489642OtherANTHEM BCBS
INP54033Medicare UPIN